Active NPI
Taylor Mary Permenter, PT, DPT
- Physical Therapist
- Layton, UT
National Provider Identifier
1568022200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11277779-2401
- Practice address
- 201 W Layton Pkwy
Layton, UT 84041-3692 - Phone
- (904) 662-4517
- NPI assigned
- Jun 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT33684 | FL | |
| Physical Therapist | 225100000X | 11277779-2401 | UT | Primary |
Addresses
Primary practice location
201 W Layton Pkwy
Layton, UT 84041-3692
Mailing address
240 Springwood LN
Saint Johns, FL 32259-4270
Phone (904) 662-4517
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT33684 | FL | MD | Physical Therapist |
| 11277779-2401 | UT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560470400000",
"number": "1568022200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 SPRINGWOOD LN",
"city": "SAINT JOHNS",
"state": "FL",
"postal_code": "322594270",
"telephone_number": "904-662-4517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W LAYTON PKWY",
"city": "LAYTON",
"state": "UT",
"postal_code": "840413692",
"telephone_number": "904-662-4517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERMENTER",
"first_name": "TAYLOR",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-14",
"last_updated": "2019-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT33684",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "11277779-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.